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Post-deployment monitoring and safety reporting of AI medical imaging devices in clinical practice

This document provides practical, step-by-step guidance on how to undertake post-deployment monitoring and safety reporting effectively, ensuring that AI medical devices in NHS radiology and oncology departments continue to support the delivery of safe and high-quality patient care.
Date: 2026
Publication

This guidance was developed by an expert panel, including Clinical Oncologists and Clinical Radiologists and incorporates feedback following a public consultation. The expert panel acknowledges the AI field is constantly evolving. The content of this document details the standards to monitor AI tools in radiology and oncology at the time of publication, but departments should consider how their monitoring activities need to evolve as AI medical imaging devices and their usage change.

When reading this guidance, please consider the following reflective questions:

  1. What are the benefits to my service of implementing this guidance?
  2. What are the key barriers to implementing this guidance in my service?
  3. Does the guidance incite any ideas for quality improvement projects that I, or others in my service, might take forward?